Behera Bijayini, Bhoriwal Sandeep, Mathur Purva, Sagar Sushma, Singhal Maneesh, Misra M C
Department of Microbiology, JPNA Trauma Centre, All India Institute of Medical Sciences, New Delhi, India.
Indian J Crit Care Med. 2011 Jan;15(1):49-51. doi: 10.4103/0972-5229.78228.
We report a case of posttraumatic skin and soft tissue infection in a patient who sustained laceration after being hit by a water tanker. Aeromonas hydrophila was isolated from pus and was identified to the species level by Vitek 2 and a battery of biochemical tests. The patient responded to thorough drainage, debridement of wound and 2 weeks of intravenous antibiotics. The patient was taken up for split skin grafting of the raw area. She was discharged with satisfactory graft uptake after 1 week without any further antibiotics advice. Follow-up after 3 weeks was satisfactory with healthy cover on the raw area and normal weight bearing on the left leg.
我们报告一例创伤后皮肤和软组织感染病例，患者被一辆水车撞击后出现撕裂伤。从脓液中分离出嗜水气单胞菌，并通过Vitek 2和一系列生化试验鉴定到种水平。患者经彻底引流、伤口清创及两周静脉抗生素治疗后病情好转。患者接受了创面的游离皮片移植。1周后患者出院，皮片成活情况良好，未再给予抗生素建议。3周后的随访结果令人满意，创面有健康的皮肤覆盖，左腿负重正常。
